American College of Physicians: Internal Medicine — Doctors for Adults ®


Geriatric assessment tools

Copyright 2003 by the American College of Physicians.

  • A 22-page pre-visit questionnaire helps you gather extensive family and social histories for elderly patients.

  • Use the follow-up form to help focus visits with established elderly patients.

  • This document provides a flow chart for visits to screen patients for common geriatric problems, as well as a basic screening questionnaire. It also includes a form to guide you through assessments for mobility problems and falls.

  • The incontinence visit form will guide you through the process of assessing the severity, type and root cause of incontinence, as well as determining treatment and follow up.

  • Use the incontinence follow-up form to prepare incontinent patients for subsequent office visits.

  • "Community resources for falls" provides a model format your practice can follow to create a list of resources for elderly patients specific to your area.


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